The observation and nursing care of a patient with extensive degloving injuries complicated infection after skin grafting
10.3760/cma.j.cn211501-20200612-02745
- VernacularTitle:一例超大面积脱套伤行反取皮植皮术感染患者的观察与护理
- Author:
Bo QIAO
1
;
Qiuxiang CHAI
;
Yuxuan LI
;
Xianjie CUI
Author Information
1. 北京大学第三医院危重医学科 100191
- Keywords:
Degloving injuries;
Skin grafting;
Infection;
Nursing care
- From:
Chinese Journal of Practical Nursing
2021;37(17):1347-1350
- CountryChina
- Language:Chinese
-
Abstract:
Objective:Report the nursing process of a patient with extensive degloving injuries who accept repeatedly replanted in the partial necrosis area after skin grafting merge wound infection.Methods:The main points: after patient admitted to hospital initiate first aid treatment and prepare the surgery; manage the blood volume, prevention and monitoring of wound infection at early postoperative; and positive nutrition support and avoid defecate contaminated wounds, early activity and rehabilitation at late postoperative phases.Results:Under careful treatment and care, after three months, all the skin grafts survived and scar healing.Conclusions:On the basis of life support system and skin grafting, taking positive measures to control the wound infection and promote skin survival, had played an important role in the treatment of this case.
